Utah Pre-Service Preauthorization Survey

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Instructions & Form
Who is Required to File
Status of the Survey
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Instructions & Form

The Utah Pre-Service Preauthorization Survey is a required state-specific annual filing. The purpose of this filing is to meet the requirements of Utah Code § 31A-22-650(5)(b-e).

Who is required to file?

All Fraternal, Health, Life and Property & Casualty insurers in Utah with Comprehensive Hospital & Medical (Major Medical) business in either the Individual, Small Group, or Large Group Markets are required to complete and file this annual survey. All other insurers are exempt. The completed report is due March 1, 2026. Failure to file by the deadline may subject your company to the enforcement penalties under Utah Code § 31A-2-308.

Status of the survey for data year 2025

The Utah Pre-Service Preauthorization Survey is now available for the 2025 data year. Please review the instructions and survey forms carefully so that you will understand how to report your data. This will save time and reduce the number of corrections after the report form is filed. However, we will work with you to understand and file the report form.

The Utah Insurance Department will only accept electronic submissions of the Utah Pre-Service Preauthorization Survey as an Excel spreadsheet via the UID secure file upload website at https://portal.uid.utah.gov/. All survey files should be uploaded to the "HEALTH RESEARCH *Notify All" folder. Do not use another folder to submit your files.

Please remember each insurer is required to file a complete report form. This includes providing a contact person, with correct contact information, including a valid telephone number and email address.

Note that all data in the report form should be whole numbers. Use of decimals creates rounding errors when the data is processed. Also, only submit one company per Excel form.

Please download the survey form using the link available below. Right-click on each link and select "Save Target As" to download each file to your computer.

Companies are expected to read the instructions before completing the form. Questions regarding the Utah Pre-Service Preauthorization Survey should be directed to the Research Analyst at uid.healthresearch@utah.gov.

Getting your survey materials

You can download the instructions, signature form, and survey form from the links provided below. The survey instructions and the signature form are available in Adobe PDF format. The survey form itself is an Excel data entry form.

Important Information:

Be sure to read the instructions thoroughly before you start filling out the form.

If you have any questions about the survey, feel free to contact the Research Analyst at uid.healthresearch@utah.gov.

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